Active NPI
Mario Juarez
- Pharmacist
- Presidio, TX
National Provider Identifier
1972967396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27914
- Practice address
- 1501 B North Erma Ave
Presidio, TX 79845 - Phone
- (432) 229-2252
- Fax
- (432) 229-3152
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27914 | TX | Primary |
Addresses
Primary practice location
1501 B North Erma Ave
Presidio, TX 79845
Mailing address
509 N Main St
Fort Stockton, TX 79735-5623
Phone (432) 336-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27914 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meladimaa Pharmacy LLC | Past | Accepting new patients | |
| Presidio Pharmacy Inc | Past | Accepting new patients | |
| MXJ Inc Dba Baggett Pharmacy | Pharmacist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- Fort Stockton, TX
- NPI 1962576538
-
- Community/Retail Pharmacy
- Presidio, TX
- NPI 1801330303
-
- Long Term Care Pharmacy
- Irving, TX
- NPI 1609506161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1972967396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N MAIN ST",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797355623",
"telephone_number": "432-336-2297",
"fax_number": "432-336-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 B NORTH ERMA AVE",
"city": "PRESIDIO",
"state": "TX",
"postal_code": "79845",
"telephone_number": "432-229-2252",
"fax_number": "432-229-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "MARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "27914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Presidio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.